Peds

Question 1

Habilitation

Answer 1

Process aimed at helping people attain, keep, or improve skills and functioning for daily living

Question 2

Rehabilitation

Answer 2

Regaining skills, abilities, or knowledge that may have been lost or compromised as a result of a change in one’s abilities or circumstances

Question 3

Premature babies

Answer 3

• full term is 40 weeks
• actual age in weeks - how many weeks early = adjusted age (for milestone time)
• typically stop adjusting age between 2-3 years

Question 4

0-3 months

Answer 4

• Dominated by physiological flexion
• able to clear airway in prone
• rhythmic kicking
• head lag
• lifts head ~45 degrees in prone
• initial asymmetry
• symmetry begins, more antigravity flexion
• flexed supported sitting
• Variation in movement is very important, beginning to be predictive of typical/atypical

Question 5

3 months

Answer 5

• prone: weight on forearms, may tip over, head ~60degrees
• supine: lift legs off surface, head in midline
• sitting: back rounded, head close to midline, still has head lag with pull-to-sit
• standing: little weight, astasia
• hands loosely fisted
• voluntary grasp on contact
• smooth tracking ~180degrees, beginning of convergence
• turns to sounds consistently at 3-4 months

Question 6

Signs of baby intolerance

Answer 6

• yawning - hiccough - frantic/disorganized - fidgeting - sneezing - squirming - push away - limp or floppy - skin color changes

Question 7

Tummy time

1. Brain
2. Head
3. Eyes
4. Neck
5. Arms/hands
6. Tummy
7. Back
8. Hips
9. Legs

Answer 7

1. Brain: sensory integration - cognitive development - environmental awareness
2. Head: prevents flat head syndrome (plagiocephaly)
3. Eyes: visual motor development - depth perception
4. Neck: strengthens neck mm - improves head control
5. Arms/hands: strengthens arms for reaching and crawling - formation of hand arches for fine motor skills
6. Tummy: helps with GI issues
7. Back: posture strength - back strength - skeletal alignment
8. Hips: stretches/develops hip mm
9. Legs: helps develop mm for crawling

Question 8

Container baby syndrome

Answer 8

Placed in container for excessive amount of time causing a range of conditions to develop: movement - cognitive - social interaction problems - musculoskeletal

Question 9

Plagiocephaly.brachycephaly

Answer 9

Asd

Question 10

Facial asymmetry

Answer 10

Asd

Question 11

Torticollis

Answer 11

Lasd

Question 12

Clinical signs of container baby syndrome

Answer 12

1. Plagiocephaly
2. Facial asymmetry
3. Torticollis
4. Decreased movement, strength, and coordination
5. Delays achieving expected motor milestones such as rolling, sitting, or standing in otherwise typically developing child
6. Speech, sight, hearing, and cognitive problems
7. Increased weight/obesity

Question 13

AIMS

Answer 13

Measures gross motor maturation in infants from birth - 18mo (or independent walking)

• assesses all forms of motor delays
• CNS dysfunction

Question 14

Peabody (PDMS-2)

Answer 14

6 sub tests of interrelated motor abilities that develop early in life (birth - 6yrs)

• gross: reflexes, stationary, locomotion, object manipulation
• fine: grasping, visual motor integration
• average: 8-12
• below avg: 6-7
• poor: 4-5
• very poor: 1-3

Question 15

BOT-2

Answer 15

Assesses motor functioning of children 4-21 years of age

1. Fine manual control 2. Manual coordination 3. Body coordination 4. Strength and agility
   - further divided into 8 sub tests
   - avg: 11-19
   - below avg: 6-10
   - low: 0-5

Question 16

HELP

Answer 16

Includes cognitive, language, gross motor, fine motor, social-emotional, and self-help
- skills within each strand are developmentally sequenced, hierarchical in nature

Question 17

APGAR

Answer 17

Appearance
Pulse
Grimace
Activity 
Respiration 
7-10 is good condition

Question 18

Concepts of development

Answer 18

• cephalon to caudal
• gross to fine
• mass to specific
• proximal to distal

Question 19

G

Answer 19

F